11TH ANNUAL

Sunset House 5K Run and Fitness Walk

Saturday, May 26, 2012, 9:00 a.m.

Course Description

The 5-kilometer (3.1 mile) loop course starts and finishes at the Irondequoit United Church of Christ, 644 Titus Avenue. The route is flat and fast and is certified to be accurate by the USA Track & Field/Road Running Technical Council. Certification # is NY04013KL.

Entry Fee and Awards

$20 pre-registration until May 19, 2012, $25 post–entry and on race day. T-shirts to first 450 participants. Entry fee is non refundable. Proceeds benefit the Sunset House hospice. Awards to Top Overall Male/Female and Top Male/Female Masters. Age group awards from 10 and under to 80 and over.

Registration and Goodie Bag Pick Up

At the Irondequoit United Church of Christ, 644 Titus Avenue on Friday, May 25th from 5:00 to 8:00 p.m. and on race day from 7:00 to 8:30 a.m.

Parking

Limited parking at Irondequoit United Church of Christ. Additional parking within walking distance of the church at Irondequoit Plaza.

OFFICAL RACE ENTRY FORM

Enter all information below, including shirt size, and sign waiver, which is required to participate.

Name __________________________ ______ Age_____ Male [ ] Female [ ]

Address____________________________ City/State/ ZIP________

Date__________Email address: ______________________________

I am registering for the: [ ] 5K Run [ ] 5K Fitness Walk

Shirt Size: [ ] S [ ] M [ ] L [ ] XL [ ] 2XL ENTRY FEE ENCLOSED: $_____

I would like to make an additional tax-deductible donation to Sunset House in the amount of $________.

Mail Entry To: Sunset House 5K, 392 Pinegrove Ave, Rochester, NY 14617

Make checks payable to: Sunset House 5k

E-mail for more information: annecc1@frontiernet.net

Official race website: www.sunsethouse5k.com

RACE WAIVER – PLEASE READ AND SIGN TO PARTICIPATE

I know that running a road race is a potentially hazardous activity. I should not participate unless I am medically able and properly trained. I agree to abide by any decision of a race official relative to my ability to safely complete the event. I assume all risks associated with running this event, including, but not limited to, falls, contact with other participants, the effects of weather, traffic, and conditions of the road, all such risks being known and understood by me, having read this waiver and knowing these facts and in consideration of accepting my entry, I, for myself and anyone entitled to act on my behalf, waive and release Sunset House, the Irondequoit United Church of Christ, Town of Irondequoit, sponsors and agencies and municipalities, their representatives, and successors for all claims or liability of any kind arising out of my participation in this event. I grant permission to all of the foregoing to use any photographs, motion pictures, recordings or any other record of this event for any legitimate purpose.

________________________________ _____________________________

Signature of participant Signature of parent/guardian of participant under 18